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MR. GLEN WAYNE KOCH LMT
NPI 1194057893
Massage Therapist in Port Townsend, WA

Active since February 04, 2010
2552 S DISCOVERY RD, PORT TOWNSEND, WA 98368(360) 316-9093 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Glen Wayne Koch Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN WAYNE KOCH LMT (NPI 1194057893) is an individual massage therapist in Port Townsend, Washington, licensed in Washington (MA60133166) and active in the NPI registry since February 2010. He maintains a secondary practice location in Port Townsend.

NPPES Registry Identity

NPI1194057893
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. GLEN WAYNE KOCHCredential: LMT
Location Address2552 S DISCOVERY RDPort Townsend, WA 98368-8216
Mailing Address2552 S Discovery RdPort Townsend, WA 98368-8216 · (360) 316-9093
Phone(360) 316-9093
Sole ProprietorYes
Enumeration DateFebruary 4, 2010
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1194057893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60133166
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

2552 S DISCOVERY RD, Port Townsend, WA 98368
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Secondary Practice Location 1

Location 13019 Eddy StPort Townsend, WA 98368-5919 · Phone (360) 316-9093

Frequently Asked Questions

What is Glen Koch's NPI number?

The NPI number assigned to this healthcare provider is 1194057893, enumerated as an "individual" on February 04, 2010.

Where is the provider located?

The provider is located at 2552 S DISCOVERY RD PORT TOWNSEND, WA 98368 and the phone number is (360) 316-9093.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.